Therapies and regimens designed to prevent venous thromboembolism (VTE) include which of the following? (Select all that apply.)
a. Pneumatic compression stockings
b. Venous foot pump
c. Low-molecular-weight heparin
d. Fondaparinux
e. Elspar
A, B, C, D
Mechanical therapies include the use of graduated compression stockings along with intermittent pneumatic compression (IPC) or a venous foot pump (VFP). The VFP is limited primarily to when IPC cannot be used, as when surgery or injury occurs to the affected lower extremity. Pharmacological regimens that include the administration of low-dose unfractionated heparin, low-molecular-weight heparin, factor Xa inhibitor (fondaparinux), or warfarin are recommended. Elspar is a chemotherapeutic drug used to treat which can increase the risk for clot formation.
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A postmenopausal patient is at high risk for developing osteoporosis. The patient's prescriber orders raloxifene [Evista], and the nurse provides teaching about this drug. Which statement by the patient indicates understanding of the teaching?
a. "I may experience breast tenderness while taking this drug." b. "I may experience fewer hot flashes while taking this drug." c. "I should discontinue this drug several weeks before any surgery." d. "I should walk as much as possible during long airline flights."
The nurse's first priority when preparing for the discharge of a preterm infant is to
a. encourage the parents to provide care for the baby while in the hospital b. make arrangements for a home health nurse visit c. refer parents to local support groups for help d. enroll parents in an infant CPR class
Recent research by Beebe (2002) examined the perceptions and experiences of persons with schizophrenia who were recently discharged from a hospital stay. The MOST frequent problems faced by these persons included all but which of the following?
a. having difficulty managing their medications b. experiencing psychiatric symptoms c. choosing among several job offers d. having social problems and family conflicts
NICHD guidelines apply only to
A. Intrapartum patients B. Internal monitoring of fetal heart rate C. Interpreting tracings of good quality